Evidence map›Paper›PMID 42088229›Full record

SynthesisFrontiers in public health2026

Comparative effectiveness of non-pharmacological interventions for depression and anxiety in chronic low back pain: a Bayesian network meta-analysis of randomized controlled trials.

Lei Chen, Li Zeng, Yi-Tian Lai, Wu Li, Jiang-Shan Li

Abstract readNetwork Meta-AnalysisComparative StudySystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lei ChenDepartment of Tuina, School of Acupuncture-Moxibustion and Tuina, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Li ZengDepartment of Tuina, School of Acupuncture-Moxibustion and Tuina, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Yi-Tian LaiDepartment of Tuina, School of Acupuncture-Moxibustion and Tuina, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Wu LiDepartment of Tuina, School of Acupuncture-Moxibustion and Tuina, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Jiang-Shan LiDepartment of Tuina, School of Acupuncture-Moxibustion and Tuina, Hunan University of Chinese Medicine, Changsha, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic low back pain (CLBP) is often accompanied by anxiety and depression, which hinders clinical treatment. Therefore, this study conducts a Bayesian network meta-analysis to compare the effectiveness of different non-drug interventions in relieving pain and related emotional symptoms in CLBP patients. Methods: This review was prospectively registered in PROSPERO (CRD420251066414). As of June 2025, PubMed, Embase, Cochrane Library, Web of Science, CINAHL, Scopus, CNKI, and Wanfang databases have been searched to collect randomized controlled trials concerning non-pharmacological interventions for CLBP. The main outcomes are pain, anxiety, and depression. The scoring directions of all outcome scales were consistent. To account for differences in measurement tools, effect sizes are expressed as standardized mean differences (SMD), estimated using a Bayesian random-effects model based on change scores, and reported with 95% credible intervals (CrIs), adjusted using Hedges' g. Comprehensive sensitivity analysis, subgroup analysis, and regression analysis were carried out to explore the source of heterogeneity and the factors affecting the treatment results. Results: Twenty-four trials were ultimately included ( Conclusion: MBE and SE may help alleviate pain, anxiety, and depression among CLBP individuals, whilst IR may have a modest beneficial impact on depression. Given the high heterogeneity across different outcome measures, these conclusions should be evaluated with caution, and further high-quality research is required to substantiate them. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD420251066414, PROSPERO, CRD420251066414.

Indexed as

AnxietyChronic PainDepressionLow Back PainBayes TheoremHumansRandomized Controlled Trials as TopicTreatment OutcomeanxietyBayesian network meta-analysischronic low back paindepressionnon-pharmacological interventions

Identifiers

PMID42088229
PMCPMC13137130

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.